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<br />Please check item or items for which you are applying: <br /> <br />/PUD <br />_ Rezoning <br />Conditional Use Permit <br />~ Vacation of Right-of-Way <br />""7 Preliminary & Final Plat <br /> <br />~ <br /> <br />, <br />.. <br /> <br />2885" <br /> <br />~ <br /> <br />- <br /> <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 PHONE: 490-2279 FAX: 490-2931 <br /> <br />$750 <br />$300 <br />$200 <br />$200 <br />$500 <br /> <br />Comprehensive Plan Amendment <br />Minor Subdivision <br />Relocation of Dwelling <br />Variance to Zoning Ordinance <br />Shoreline Permit <br /> <br />$750 <br />$100 <br />$100 <br />$200 <br />$ 50 <br /> <br />When applying for more than one approval, only one fee (the highest) is charged. Please <br />complete form by typing or printing in ink. If the spaces provided are insufficient, use additional <br />sheets, keying information to the proper item numbers: <br /> <br />1. J..lfwlUJC-L /II ;cH !rEi- 11 t,M- <br />. <br /> <br />Name of Owner: (First) (Middle) <br /> <br />2. <br /> <br />~~ <br />'I ') J -lr ? Iro <br />(Last) (Phone) <br /> <br />3. <br /> <br />;;lfo 00 e. <br />Address of Owner: <br /> <br />L ~ t...~ AfC:c.. <br />Name of Applicant: <br /> <br />~. RJ 0 6JWIIc <br />(No. And Street)- (City) <br /> <br />jiI fC. H If t '- ,~/"".-. <br />(First) (Middle) <br /> <br />8 4 ~ L ,f-):.E- At /w S-S-/I 0 <br />(State) (Zip) <br /> <br />') '13 -,.. ,4' 0 <br />(Last) (Phone) <br /> <br />4. <br /> <br />~,oo ~. c. I<d. 0 <br />Address of Appl.: (No. And Street) <br /> <br />(City) <br /> <br />(State) <br /> <br />(Zip) <br /> <br />5. <br /> <br />~ ~S"_ J- /l'1re II c!) {}, AN'S <br />Street Address of Property Involved: <br /> <br />Complete Legal Description of Property Involved:S~z:- A 7'M-c;.tl-4IJ ;J~A- NS <br /> <br />6. <br /> <br />7. <br /> <br />Present Use of Property: V~N"- <br />Proposed Use of Property: f.tJ,{) <br /> <br />Present Zoning of Property: ~#I't.t p.- <br />Proposed Zoning of Prop.: Aut TI ~. <br /> <br />8. <br /> <br />9. Present Comprehensive Plan Designation: <br />Proposed Comprehensive Plan Designation: <br /> <br />10. <br /> <br />What plan or change makes this request necessary? <br /> <br />f}u J) <br /> <br />1 <br />